46D0523876 CLIA NUMBER - COTTONWOOD OB GYN

Laboratory Demographics

CLIA Number: 46D0523876

Facility Name: COTTONWOOD OB GYN

Facility Address:
5063 S COTTONWOOD ST, SUITE 400
MURRAY, UT
ZIP 84107
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Facility Phone Number: 801 507-1950

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1417315243

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	46D0523876
LAB Type	Physician Office
Facility Name	COTTONWOOD OB GYN
Street	5063 S COTTONWOOD ST, SUITE 400
City	MURRAY
State	UT
ZIP	84107
Phone	801 507-1950
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024